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Fee Schedule FAQs – Connecticut Workers’ Compensation

Fee Schedule FAQs Connecticut Workers Compensation REV This document is proprietary to Medata, Inc. and is to be used solely by those persons expressly authorized by Medata, Inc. to appraise its contents. This document and any information contained herein shall not be duplicated, used, or disclosed, in whole or in part, for any purpose without the expressed permission of Medata, Inc. 2021, Medata, Inc. 5 Peters Canyon Road, Suite 250, Irvine, CA 92606 | | Page 2 General _____ 3 Medical _____ 6 Anesthesia Surgery Radiology Laboratory & Pathology Medicine Evaluation and Management Non-Physician Practitioners HCPCS _____ 10 Ambulance Dental Durable Medical Equipment J-Codes Facility Services _____ 11 Inpatient Hospital Outpatient Hospital Ambulatory Surgery Center Specialty Facilities Pharmacy _____ 14 State Specific Procedures _____ 15 Respondent s Medical Examinations (RME) Reports Copy Service Fee Schedule TABLE OF CONTENTS 5 Peters Canyon Road, Suite 250, Irvine, CA 92606 | | Page 3 What is the most recent effective date?

No, Rule 31-279-9 (e) states: “All charges for medical, surgical, hospital and nursing services, except those for ... under General Guidelines for Providers, claims for services must be submitted within 180 days after the ... Modifier 51 exempt and Add-on codes 100% Dates of service prior to 7/15/2017 Description Reimbursement

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